Page 62 - Policy-Communication-Report-Volume-67
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                        ÿöčäåćîüĉîĉÝÞĆ÷
                                             òŦÜđ×Ęö
                                             òŦÜđ×Ęö
                                                                        Ĥ. ðøąÙï/Ăï/Ăćïÿöčîĕóø
                                                                  / / / /
                                                                        Ĥ. ðøąÙï/Ăï/Ăćïÿöčîĕóø
                                                                                                                Ģ. ÷ćÿöčîĕóø/÷ćêĞćøĆï
                                                                                                                Ģ. ÷ćÿöčîĕóø/ ø ø ÷ćêĞćøĆï
                                                                                         ģ. Öćøîüéĕì÷
                                                                                         ģ. Öćøîüéĕì÷
                            ÷ćÿöčîĕóø/÷ćêĞćøĆïǰøĆÖþćêćö
                                                    ĥ. ĀĆêëđüßÖøøöĂČęîǰđߊî Öćø
                                                    ĥ. ĀĆêëđüßÖøøöĂČęîǰđߊîǰÖćø
                                                                                                              Care Delivery
                                                                                                              Care Delivery
                        rehabilitation
                        rehabilitation
                         IV. IPD intensive
                         IV. IPD intensive
                                                                    (Bowel & Bladder problem)
                                                                                             problem)
                                                                                             problem)
                                                                    (Bowel & Bladder problem)
                                                                ðŦÿÿćüą/ĂčÝÝćøą
                                                                ðŦÿÿćüą/ĂčÝÝćøąǰ
                                                           / /
                                                                                                  (Cognitive & Perception
                                                                                                  (Cognitive & Perception
                                                                    Ħ. éšćîÖćøÙüïÙčöÖćø×ĆïëŠć÷
                                                                    Ħ. éšćîÖćøÙüïÙčöÖćø×ĆïëŠć÷
                                                                                                  ĥ. éšćîÙüćöÙĉéĒúąÖćøøĆïøĎšǰ
                                                                                                  ĥ. éšćîÙüćöÙĉéĒúąÖćøøĆïøĎšǰ
                          III. OPD rehabilitation
                          III. OPD rehabilitation
                                                                                                                (Swallowing problem)
                                                                                   (Communication problem)
                                                                                   (Communication problem)
                                                                                                                (Swallowing problem)
                                                  (Mobility problem)
                                                  (Mobility problem)
                                                                                                             Ģ. éšćîÖćøÖúČî
                                                                                                             Ģ. éšćîÖćøÖúČîǰ
                                                    Ĥ. éšćîÖćøđÙúČęĂîĕĀüøŠćÜÖć÷ǰ
                                                                                 ģ. éšćîÖćøÿČęĂÿćøõćþćǰ
                                                                                 ģ. éšćîÖćøÿČęĂÿćøõćþćǰ
                                                    Ĥ. éšćîÖćøđÙúČęĂîĕĀüøŠćÜÖć÷ǰ
                        II. Out-reached
                        II. Out-reached
                                                                                             êćöðøąđõì×ĂÜÖćøÿĎâđÿĊ÷Ùüćöÿćöćøëǰ(Impairment)
                                                                                             êćöðøąđõì×ĂÜÖćøÿĎâđÿĊ÷Ùüćöÿćöćøëǰ(Impairment)
                         I. Home program
                                                                                                              Care Planning
                                                                                                              Care Planning
                         I. Home program
                                                                                 üćÜĒñîÖćøéĎĒúøĆÖþć
                                                                                 üćÜĒñîÖćøéĎĒúøĆÖþć
                                                                         IMC manager ÿŠÜךĂöĎúĔĀšÿĀüĉßćßĊó
                                                                                     ĒúąÙüćöïÖóøŠĂÜìćÜÖćøĒóì÷Ť
                          Barthel index: ADL
                                                                                                                Assessment & Dx
                                                                                       ÿĀüĉßćßĊóðøąđöĉîǰBarthel index: ADL
                                                                         IMC manager ÿŠÜךĂöĎúĔĀšÿĀüĉßćßĊó
                                                                                      Acute ĒúąÿõćüąìćÜÖćøĒóì÷ŤÙÜìĊę
                                                                                                               Access & Entry
                                                                                        ñĎšðśü÷ǰStroke øóý. Ēúąǰøóì. ìĊęóšîøą÷ąǰ
                                                                                                                êĉéêćöñúÖćøøĆÖþćìčÖǰĢǰ– ģǰđéČĂî
                                                                                     ÿŠÜêŠĂĒóì÷ŤĒñîðŦÝÝčïĆî
                                                                                                              ÿŠÜêŠĂđóČęĂÖćøéĎĒúøĆÖþćĔîßčößî
                                                                đÖèæŤÖćøÿŠÜêŠĂ
                                                                                                      ĕì÷
                                                                 öĊõćüąĒìøÖàšĂî/
                                                                                                                 üćÜĒñîÖćøÝĞćĀîŠć÷éšćîÖćøĒóì÷ŤĒñî
                                                                           Ĕߊ
                                                ĕöŠ
                                     - ñúúĆóíŤÖćøéĎĒúøĆÖþćǰ(ìčÖǰĢǰ– ģǰđéČĂî)
                                                                                       Improve
                                     - ÙüćöìĆîđüúć
                                                                        ĕöŠ
                                                                                                  Ĕߊ
                                     - ÙüćöÙøĂïÙúčö
                                     **ÖćøðøąđöĉîñúúĆóíŤ/êĆüßĊĚüĆéÙüćöÿĞćđøĘÝ
                                                                                                             ðøąđöĉîñúÖćøøĆÖþćĒúąüćÜĒñîÖćøøĆÖþćéšćîÖćøĒóì÷ŤĒñîĕì÷ǰ– Re-assessment
                                     - ÖćøĒóì÷ŤĒñîĕì÷: ĂćÖćøǰíćêčǰÿöčäåćî
                                     - ÿĀüĉßćßĊó: Barthel index ADL, Impairment
                                                                                           ģ. ÖćøøĆÖþćđÞóćąéšćî
                                                                                                                 Ģ. ÖćøøĆÖþćóČĚîåćî×ĂÜēøÙ
                                                                     Ĥ. ÖćøøĆÖþćĂ÷ŠćÜĂČęî
                                     *ÖćøðøąđöĉîĂćÖćø
                                                                                             đðŜćĀöć÷éšćîÖćøĒóì÷ŤĒñîĕì÷
                                                                                             đðŜćĀöć÷éšćîÖćøĒóì÷ŤĒñîĕì÷
                                           ßčößîǰêĉéêćöñúÖćøøĆÖþćìčÖǰĢǰ– ģǰđéČĂî
                                           ßčößîǰêĉéêćöñúÖćøøĆÖþćìčÖ Ģǰ– ģǰđéČĂî
                                                                                                 ðøąđöĉîĂćÖćøǰüćÜĒñîÖćøøĆÖþćǰĒúąÖĞćĀîé
                                / /
                                                                                                 ðøąđöĉîĂćÖćøǰüćÜĒñîÖćøøĆÖþćǰĒúąÖĞćĀîé
                                            ÖćøôŚŪîôĎǰOPD case/ÿŠÜêŠĂđóČęĂÖćøéĎĒúøĆÖþćĔî
                                            ÖćøôŪŪŪŪŚŪîôĎ OPD case/ e ÿŠÜêŠĂđóęČęĂÖćøéĎĒúøĆÖþćĔî
                                                                 Ēóì÷ŤĒñîĕì÷
                                                                  IMC manager ÿŠÜ
                                                ĕöŠ
                                                                           Ĕߊ
                                                                       øĆïđךćÿĎŠøąïïÖćøéĎĒúøĆÖþćǰIMC
                                                                                 ñĎšðśü÷ǰStroke ìĊęóšîøą÷ąǰAcute ĒúąÿõćüąìćÜÖćøĒóì÷ŤÙÜìĊę
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